2406 81ST PL SE 2018-01-02 MF Import

Date -? Y Application For PUBLIC WORKS PERMIT Print or Type Only City Describe Proposed Work �0 2 cj Project Address (if known) Zip Public: Work, Parr it a '+ Bldg Deer Public Work, Fee Total Fee Len APPr Fee Paid i Belenca Due Attach lour (4) copies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements %S8 vnone PERMIT CONDITIONS I. All calls for inspection shall bo made 24 hire. In advance • phone 259.881 5. ? All work shall be performed In accordance with this permit and current City of Everett Design and Construction Stcndards and Specifications. 3. Cell Location Underground Service 48 hrs. before you dig, TOLL FREE NUMBER 1 •800.424.5555. .2'1% X—ppmved for Construct / j - Uatt FINAL SPECTION Daft Approved as Constructed rverrR PUBLIC WORKS DEPARTMENT Ever Cedar Street Everett, WA 98201 Phone: 259-8815 ACKNOW'_EDGEMENT OF CONDITIONS W I— C J^ z 0 Fles Ch 0 a The t nders,gned owner/applicant hereby agrees to hold and save harm- less the City of Evere!t from any and all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenance or the Improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice Irom the City and to replcce qubIlc property damaged theretry. Sig IuData ie DI Applit:ant W K AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED fO COMPLETION. THIS PERMIT MAY BE CANCELLFD BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 9r DAYS DURATION.